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Volunteer Work. Comp. Election Form. Volunteer Workers' Compensation Coverage - opers ucsc 2026
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How to use or fill out Volunteer Work. Comp. Election Form. Volunteer Workers' Compensation Coverage - opers ucsc
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name in the 'Name of Volunteer' field, ensuring it's typed clearly for accurate identification.
- Fill in your home phone number and address to provide contact information.
- Specify the UCSC Sponsored Program/Event/Activity where you will be volunteering, along with the start and end dates of your appointment.
- Indicate the UCSC Department for which you will be providing services and include the name and phone number of your supervisor.
- Carefully read through the 'Election of Remedy' section, confirming your understanding before signing at the bottom.
- Complete the 'Waiver, Release & Indemnity' section by acknowledging your agreement to its terms with your signature and date.
- Finally, ensure all required copies are distributed as indicated at the bottom of the form.
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Related links
the Election of Workers Compensation Coverage form. This form fulfills two objectives: to protect the volunteer in case of injury and to protect the
The General Government Section includes departments, commissions and offices responsible for oversight of distinct policy areas.Read more